HomeMy WebLinkAbout2011-00659 - roofing CITY OF ORONO PERMIT NO.: 2011-00659
�' 2750 KELLEY PARKWAY
• ORONO, MN 55356- �ATE �ssuEn: 07/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 261 CYGNET PL
PIN : 04-117-23-23-0013
LEGAL DESC : SWAN LAKE ADDN
: LOT O10 BLOCK 001
PERMIT TYPE : M[NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 7,123.50
NOTE: ROOP'ING PERMITS [SSUED WITHOUT ENOUGH NOTICE POR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NO"CICE, PRIOR
I'O WORK BEING S��ARTED) MUS7'PROVIDE COMPLETE SET OP PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVI�RTISING SIGNS MAY ONLY BE ON THE PROPERI'Y DURING THE TIME"CI IE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BG REMOVED.
APPL[CANT PERMIT FEE SCHEDULE 162.25
WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 3.56
2274 CAPP RD
ST PAUL, MN 55114- MISC FEE 0.00
(651)251-0910 TOTAL 165.81
Minnesota State License#: 4229 PAID WITH CC# 4291
OWNER
DALE, MICHAEL
261 CYGNET PL
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified hcrein.This permit will
cxpire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
'1'he applicant is responsible for assuring all required inspections are
requesled in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Pcrmitee Signature Date Issued By � nature te
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
JUL-14-2011 02 :42 PM WALKER, ROOFING 6512510916 P. 01
��...�...� . �...... . .rr■.v�w.■v.■ .v■ ..��v� �Iw� •�v� n
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(windows� doors, sldln , re-roof, etc.)
Meiling Address; Permit number, o?O//^�Q�o$
. O¢0,j�O PO Box 68
Crystel Bey, MN 55323-0066 Date received; 7- 1<S- I �
� ��';, �, Streat Addrsea' Reoelved by;
�, 2760 Kelley Parkw�y Plen revlew fee:
'�� e o��� Orono, MN 55356
� _-`-• 7otel Fee; /�0 5 8 /
Maln: 952•249-4600 Fax; 852-Z49-4616 www.cl,orono.mn.�,$ •
This appllcatlon form must be completed in full�nd eli requirod informatlon muet be submitted,
Incomplete applicetlons wlll be returned. (Please print) ✓�s�
GENERAL INFORMATION: r1 �{8'OZ I 3Z�F 31�t 3 `�Z-� l
Job Site Address: [, �O ( ��Y�SN�� ��.
WIII thle be a Parade of Homee, Remodeivrs$howcase Home or other Display Mome9 Yes No �/�3
I1 yea,a speclel evenr parm�f ie roqul►ed wfth Pollco DepaRment end Clty Councll approvel QO days pNor to the event, Shuttle bus ssrvke wlll be
requlrod unleas eppllcenf demonatrales suMc/ent on-sitv perkiny Is aveilpble. Non-permlhed evenfs will not be ellowed, 55i/c.{
CONTRACTOR/APPLICANT INFORMATION: ��'�
Name: � N
State License# t.��� Expiretion Date; '3� �
Lead Certific�tion Numb�r: �,-�' - g �q� _ �p - p 5 �� Expiratlon Date:
(Mr work on homos t�at we�constructod prlor to 1978
Phone: � �� �� B 1 I - �Iq � (office� (cell)
Meiling Addreas: P Clty: L ZIP; (
Cont�ct Person: �^,�.� Appllcent Is; recto I Homeowner �ci►cis o�•�
Emeil�nd/or Fex:
PROPERTY OWN�R INFORMATION:
Name: M 1 K� �A'L.�
Phone (day); q����3- 3� I'I
Addre�s' 2F � ��c��r �4. Gty: LbhKst Ii� Z1P� 5S� S�
Email andlor Fax
PROJECT INFORMATION:
Type of proJect: Any earth movement may requlre
❑ Door(s) ❑ Remodel ❑Water Damape MCWD review 8 permits:
Mlnnehah�Creek W�tershed Dl�trlct(MCWD)
❑Window(s) (�Repeir ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoretivn ❑ Other (specify) Deepheven, MN 55381
Phone: 962-471-0690
�e-roof 0 Fire Demege Fex; 852-471-0682
www,,�tli��h�hacreek.ora
Overall Pro ec! Descrl tlon: 0 � o D ��-�,,��;�
Eatlmated Constructlon Valuetlon of p�oJe�t(excludln� land) $ -T����j , �� � ��,_�
APPUCANT ACKNOWLEDOEMENT; I.�,I ,
. Agrees to provide all Info�metion requlred or requeated by the Building Depertment; �
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. CeRlfles thet the Informatlon supplled Ig true and correct to the best of his/her knowledge, The appllc�ril,r�ecognizes that they
are solely responsible for submittinQ a complete appllcatlon being �were that upon fallure to do so, the�teGf has no al�ernative
but to re�ect�t unt���t�s comp�ete; ; �
. Some or ell of the Information that you are asked to p�ovlde on this epplicatlon le cleeeltied by Stete i&aiv i�s elther privata or
confldential, Private deta la Information whlch generally cannot be glven to the public but can be giv�m�tb the eubJect of the
dete, Confldentlel dete is intormetlon whlch generelly cannot be given to either the public or the eub�bdt of the deta. Our
purpose end intended uee of this Information is to ennuelly updete our recorde end recorda of other;ytiv�rnmentel agancles
ra uirod b lew, If ou refuae to�u I t e Inform8tion the a lication ma not be issued, � �
Applicant'a Slgnature: Date: i{�
Last Updated: 03-01-2011 I
�/ TIME ✓
CITY OF ORONO CALLED IN
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INSPECTION TICE CHEDULED (
PERMIT NO — �c PLETED
ADDRESS � ��
OWNER � L E NO. �
CONTRACTOR
>: DESCRIPTION �
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W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED r I SUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector.
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